Healthcare Provider Details

I. General information

NPI: 1720555386
Provider Name (Legal Business Name): ANNABEL POLLY SLOVEK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNABEL SPIERS

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 500
PHOENIX AZ
85037-3354
US

IV. Provider business mailing address

645 E MISSOURI AVE STE 300
PHOENIX AZ
85012-1351
US

V. Phone/Fax

Practice location:
  • Phone: 602-242-5040
  • Fax:
Mailing address:
  • Phone: 602-262-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN178307
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number220519
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: